marching band form - schmitt music

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Schmitt Music Marching Band 2015 What is it? A beginning marching band camp for students who have played in band for at least a year. The band is open to students in grades 5-12. Students must have had at least 1 year of band experience to participate. When is it? Marching band camp will be held from 9 am – 12 pm June 15-19 and June 22-26, 2015. We will perform in 4 parades over the course of the summer. How much does it cost? $175 per student, $150 for additional students in your family. Included in this cost is a marching band t-shirt. Shirts are available in adult S, M, L, and XL. Student Name: ______________________ Instrument: ____________ Grade: _____ Shirt Size: _____ Student Name: ______________________ Instrument: ____________ Grade: _____ Shirt Size: _____ Student Name: ______________________ Instrument: ____________ Grade: _____ Shirt Size: _____ Student Name: ______________________ Instrument: ____________ Grade: _____ Shirt Size: _____ Student Name: ______________________ Instrument: ____________ Grade: _____ Shirt Size: _____ Address: ___________________________________________________ City: ______________________________ State: _________ ZIP: ___________ Phone: _____________________________ email: ____________________________ (Payment information on back.)

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Schmitt Music Marching Band 2015

What is it? A beginning marching band camp for students who have played in band for at least a year. The band is open to students in grades 5-12. Students must have had at least 1 year of band experience to participate. When is it? Marching band camp will be held from 9 am – 12 pm June 15-19 and June 22-26, 2015. We will perform in 4 parades over the course of the summer. How much does it cost? $175 per student, $150 for additional students in your family. Included in this cost is a marching band t-shirt. Shirts are available in adult S, M, L, and XL.

Student Name: ______________________ Instrument: ____________ Grade: _____ Shirt Size: _____

Student Name: ______________________ Instrument: ____________ Grade: _____ Shirt Size: _____

Student Name: ______________________ Instrument: ____________ Grade: _____ Shirt Size: _____

Student Name: ______________________ Instrument: ____________ Grade: _____ Shirt Size: _____ Student Name: ______________________ Instrument: ____________ Grade: _____ Shirt Size: _____

Address: ___________________________________________________

City: ______________________________ State: _________ ZIP: ___________

Phone: _____________________________ email: ____________________________ (Payment information on back.)

Marching Band Costs: ___ 1 Student: $175 ___ 2 Students: $325 ___ 3 Students: $475 ___ 4 Students: $625 ___ 5 Students: $775 If you would like to order additional shirts for yourself or your family, cost is $12 per shirt. Please indicate how many of each size you would like. ____ S _____ M ____ L ____ XL ____ XXL number additional shirts _____ x $12 each = $________ GRAND TOTAL (marching band costs + additional shirts): $__________ Payment Type _____ Check (Check #: _________ ) _____ Please charge my credit card. (Be sure to sign at the bottom.) Card Type ___ Visa/Mastercard ___ American Express ___ Discover

Card Number Expiration Date

I AUTHORIZE SCHMITT MUSIC TO CHARGE MY CREDIT/DEBIT CARD AS PERMITTED BY THIS AGREEMENT. x________________________________________